NPIMap

Organization Active NPI

Super Care Diagnostic Services, Inc

  • Other Technician
  • Los Angeles, CA
National Provider Identifier
1942256409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
SUPER CARE DIAGNOSTIC SERVICES, INC
Practice address
1749 Colorado Blvd
C
Los Angeles, CA 90041-1348
Phone
(323) 255-9777
Fax
(323) 255-9776
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Samvel Abramyan
Title
Owner
Phone
(323) 255-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

1749 Colorado Blvd
C
Los Angeles, CA 90041-1348

Mailing address

1749 Colorado Blvd
C
Los Angeles, CA 90041-1348
Phone (323) 255-9777

National Provider Directory

National Provider Directory

Locations

1749 Colorado Blvd
Ste C
Los Angeles, CA 90041
Phone (323) 255-9777

1749 Colorado Blvd
#C
Los Angeles, CA 90041
Phone (323) 255-9777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942256409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 COLORADO BLVD",
            "address_2": "C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411348",
            "telephone_number": "323-255-9777",
            "fax_number": "323-255-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 COLORADO BLVD",
            "address_2": "C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411348",
            "telephone_number": "323-255-9777",
            "fax_number": "323-255-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CARE DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAMYAN",
        "authorized_official_first_name": "SAMVEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-255-9777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.